WILLIE NICHOLSON - NPI 1073011243 - Rehabilitation Practitioner in Los Angeles, CA

Q: What is Willie Nicholson's NPI number?

The NPI number for Willie Nicholson is 1073011243. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Q: What is Willie Nicholson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Willie Nicholson was last updated on May 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Willie Nicholson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE NICHOLSON (NPI 1073011243) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1073011243

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameWILLIE NICHOLSON

Location Address6957 N FIGUEROA STLos Angeles, CA 90042

Mailing Address1945 Hillhurst Ave Apt 2Los Angeles, CA 90027-2732 · (618) 660-9464

Phone(323) 443-3175

Sole ProprietorNo

Enumeration DateJanuary 23, 2018

Last NPPES UpdateMay 29, 2018

✔ NPI 1073011243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

6957 N FIGUEROA ST, Los Angeles, CA 90042

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL MARIE STONEROCK MSW

Social Worker (Clinical)